<div class="customers form">
<?php echo $this->Form->create('Customer', array('url' => array('controller' => 'customers', 'action' => 'edit2'))); ?>
	<fieldset>
 		<legend><?php __('Edit Customer'); ?></legend>
		<input type="hidden" id="CustomerId" value="<?php echo $row["id"]; ?>" name="data[Customer][id]">
		<input type="hidden" id="CustomerRunid" value="<?php echo $runid; ?>" name="data[Customer][runid]">
		<input type="hidden" id="CustomerMacAddress" value="<?php echo $row["mac_address"]; ?>" maxlength="45" name="data[Customer][mac_address]">
		<input type="hidden" id="CustomerModemType" value="<?php echo $row["modem_type"]; ?>" maxlength="45" name="data[Customer][modem_type]">
		<input type="hidden" id="CustomerSerialNo" value="<?php echo $row["serial_no"]; ?>" maxlength="45" name="data[Customer][serial_no]">
		<label for="CustomerAccountNumber">Account Number</label>
		<input type="text" id="CustomerAccountNumber" value="<?php echo $row["account_number"]; ?>" maxlength="11" disabled="disabled" name="data[Customer][account_number]">
		<br><br><label for="CustomerInstFirstName">Inst First Name</label>
		<input type="text" id="CustomerInstFirstName" value="<?php echo $row["inst_first_name"]; ?>" maxlength="100" name="data[Customer][inst_first_name]">
		<br><br><label for="CustomerInstLastName">Inst Last Name</label>
		<input type="text" id="CustomerInstLastName" value="<?php echo $row["inst_last_name"]; ?>" maxlength="100" name="data[Customer][inst_last_name]">
		<input type="hidden" id="CustomerInstMidName" value="<?php echo $row["inst_mid_name"]; ?>" maxlength="100" name="data[Customer][inst_mid_name]">
		<br><br><label for="CustomerSalutation">Salutation</label>
		<input type="text" id="CustomerSalutation" value="<?php echo $row["salutation"]; ?>" maxlength="50" name="data[Customer][salutation]">
		<br><br><label for="CustomerCompanyName">Company Name</label>
		<input type="text" id="CustomerCompanyName" value="<?php echo $row["company_name"]; ?>" maxlength="200" name="data[Customer][company_name]">
		<input type="hidden" id="CustomerLanguage" value="<?php echo $row["language"]; ?>" maxlength="50" name="data[Customer][language]">
		<input type="hidden" id="CustomerContactRole" value="<?php echo $row["contact_role"]; ?>" maxlength="50" name="data[Customer][contact_role]">
		<input type="hidden" id="CustomerPhone1" value="<?php echo $row["phone1"]; ?>" maxlength="20" name="data[Customer][phone1]">
		<input type="hidden" id="CustomerPhone2" value="<?php echo $row["phone2"]; ?>" maxlength="20" name="data[Customer][phone2]">
		<input type="hidden" id="CustomerCreditRating" value="<?php echo $row["credit_rating"]; ?>" maxlength="10" name="data[Customer][credit_rating]">
		<input type="hidden" id="CustomerInstStreet" value="<?php echo $row["inst_street"]; ?>" maxlength="100" name="data[Customer][inst_street]">
		<input type="hidden" id="CustomerInstHouseNo" value="<?php echo $row["inst_house_no"]; ?>" maxlength="10" name="data[Customer][inst_house_no]">
		<input type="hidden" id="CustomerInstZip" value="<?php echo $row["inst_zip"]; ?>" maxlength="10" name="data[Customer][inst_zip]">
		<input type="hidden" id="CustomerInstCity" value="<?php echo $row["inst_city"]; ?>" maxlength="100" name="data[Customer][inst_city]">
		<br><br><label for="CustomerPoBox">Po Box</label>
		<input type="text" id="CustomerPoBox" value="<?php echo $row["po_box"]; ?>" maxlength="50" name="data[Customer][po_box]">
		<br><br><label for="CustomerBillStreet">Bill Street</label>
		<input type="text" id="CustomerBillStreet" value="<?php echo $row["bill_street"]; ?>" maxlength="100" name="data[Customer][bill_street]">
		<br><br><label for="CustomerBillHouseNo">Bill House No</label>
		<input type="text" id="CustomerBillHouseNo" value="<?php echo $row["bill_house_no"]; ?>" maxlength="10" name="data[Customer][bill_house_no]">
		<br><br><label for="CustomerBillZip">Bill Zip</label>
		<input type="text" id="CustomerBillZip" value="<?php echo $row["bill_zip"]; ?>" maxlength="10" name="data[Customer][bill_zip]">
		<br><br><label for="CustomerBillCity">Bill City</label>
		<input type="text" id="CustomerBillCity" value="<?php echo $row["bill_city"]; ?>" maxlength="100" name="data[Customer][bill_city]">
		<input type="hidden" id="CustomerCollection" value="<?php echo $row["collection"]; ?>" maxlength="10" name="data[Customer][collection]">
	</fieldset>
<?php echo $this->Form->end(__('Submit', true));?>
</div>